Hyaluronic Acid / Dermal Fillers: The Deepest Lecture In Aesthetic Medicine
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- Опубліковано 6 вер 2024
- THIS VIDEO IS NOT INTENDED FOR THE GENERAL PUBLIC. But it may be watched if you still wish, albeit it may be a little advanced for you. I made this because I was fed up of so called 'experts' putting out such low quality education on the topic that I wanted clinicians around the world to see what true expertise is before learning from the wrong source and using poor products on patients.
From it's history, to it's biological role relevant to this field, to it's raw production, to it's chemical modification and finally to it's conversion into a dermal filler that gets injected into your beautiful faces: this video is everything in one for one of the most misunderstood of molecules in aesthetic medicine: Hyaluronic Acid.
It will be too much for nearly all viewers to grasp in one viewing so please take your time and treat it like a library that you can dip in and out of any time.
Click here to get myself supervising your entire skincare for life with any of the products mentioned in the video or see me for treatment that is cosmetic, disease or longevity-related: www.drabs.clin...
Chapters:
00:05:38 Part 1 - HA Basics / History
00:33:18 Part 2 - Biological Role of HA
02:27:34 Part 3 - Methods of HA Production
03:16:01 Part 4 - Rheology Basics
03:43:04 Part 5 - Modification
04:09:11 Part 6 - Revanesse
04:49:27 Part 7 - Closing Thoughts
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• Lip filler before and after (Sarah) +...
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DISCLAIMER: This video does not contain any medical or health related diagnosis or treatment advice. Content provided on this UA-cam Channel is for informational purposes only. For any medical or health related advice, please consult with a physician or other healthcare professionals. Further, information about specific products or treatments within this video are not to diagnose, treat, cure or prevent disease. I am not sponsored by any of the companies mentioned in this video.
Dr. Abs
xx
#botox #filler #fillers #dermalfillers #antiageing #wrinkles #forehead
Copyright Disclaimer: under section 107 of the Copyright Act 1976, allowance is made for “fair use” for purposes such as criticism, comment, news reporting, teaching, scholarship, education and research. Fair use is a use permitted by copyright statute that might otherwise be infringing. Non-profit, educational or personal use tips the balance in favor of fair use.
This video is an opinion and in no way should be construed as statements of fact.
I am so glad to have discovered you. You are going to blow up big time. This is so informative and educational and its exactly my type of content. Looking forward to an in depth video on tyrosinase inhibitors one day.
Thank you, that kind of topic is on the way ❤️
Thank you for your courage and pursuit of truth and knowledge. You've been blessed with a very good mind.
Thank you very much x
Amazing you give away this information for free! Thank you so much. Appreciate the time and effort it took for you to do this and learnt so much 🙏
You're welcome 😁
What are your thoughts on skinvive? It seems to be every injectors answer to lip lines and sagging jowls 😟 Oh my gosh I can’t stop watching your videos! I love your honesty 😊 Thank you.
Another fantastic video, very insightful thank-you for sharing your knowledge with us.
Omg going to watch this next with popcorn 🍿 🙌🏽
Thankyou dr for spreading awareness 🙏🏽🙏🏽
Amazing. I'm very happy that l found you ❤
Could you possibly do a video though where you explain when we’re looking at the specs of these fillers how to know other than just looking for the particle size? How are we to know which one are likely to pull in the water which ones though they might many of them say Med or medium or deep or volume like what is the best way when looking at the specs to know for sure, or we’re not just a general role or different websites have different information than the next and with the product some of them you know with them being from so many different locations parts of the world often times because the information is not able to be compared because it’s not apples to apples. Thank u
Genius! Loved every second!
🙏
Thank You for sharing your knowledge- please tell us what do you think of Sculptra 🙏🏽
He already did if that's the first product that came to your mind.
Yea. U gotta simplify this I notice some use monophasic and some u biphasic for BDDE but some use new ways other than that I don’t know where or how we’d know which of the daggone fillers hold water BADLY or not. 😢
I HAVE HAD BOTOX ON MY FOREHEAD FOR PRONOUNCED FROWN MUSCLES OVER 10 YEARS AGO AND NOW I HAVE HEAVY DROOPY BROWS AND EYE LIDS. WHAT IS YOUR SUGGESTION ON CORRECTING THESE PROBLEMS.
Dear Doctor, God bless you for spending your time on detailed explanations, I need to rewatch it 20 times to digest the info.
Could you please provide your opinion on PLLA 🙏🏻🙏🏻🙏🏻, it’s sooooo popular, especially aesthophil. I have heard really good reviews on PLLA and wanted to make an appointment with my injector , but now I feel I need to hear your opinion first. Thank you soooo much❤
Absolutely fantastic video. Totally agree with the information you present here and the need for change in the field to be more evidence based and informed.
In terms of the video would be great if you could add sections that you could skip between or re-refer to for future reference.
Thanks Paul! There's chapter markers in the description for those that can't see them
Found it. Thanks 🙏🏼.
Far above my head this video is. I have a simple question is low molecular weight HA in topical skincare safe or inflammatory?
The other day I was watching a video where an injector was I think he was doing a live, and he was explaining how he and Jack he was showing the cannula to those who didn’t know about a blunt cannula, and he was tapping the end of it against his glove And someone criticized him saying basically how dare you? Why would you contaminate the tool that you’re about to use? He responded with the same type of information that you’re giving us now about the bacteria that are not sterile products so that’s why you clean the skin and then inject it. Kind of blew my mind and could you, expand on if it makes sense your gloves are not sterile right so I think that’s his point maybe that it’s not surgery so it’s not the same as the same type of it’s not basically it’s just I think that people get confused??
Maybe you’re actually going to answer the question already!
This account is amazing, thank you so much for sharing with us! What are your thoughts about Nexfill products compared to the ones you are recommending?
Thank you 😁 not heard of that but I'll take a look
Can you explain what taking benfotamine would do for those with insulin resistance or accelerated sugar aging. I forgot the big word for it 😣
When will Sunekos be available in USA? I’m a nurse but currently refuse to inject filler because of the lack of long term benefits. Now I’m interested in learning more about Sunekos and can’t wait for it to be available in USA 🙌🏼
Unfortunately not any time soon because the FDA basically make it so impossible to do anything for less than a million dollars from what I can see 🤣
@@Dr_Absdarn! I best get going and become a millionaire soon! LOL
5 hours! I best get settled for the night!
Lol
You are incredible ❤
Great video! thank you
So are u saying that over doing ha injections that contain polysaccharides and proteins put us at higher risk for rapid cell creation and change Possibly increasing a cancer risk ??
Thank you
I’d love to hear your detailed opinion on Vitamin C skincare products. Company’s like Obagi and Skinceuticals claim to have the best and stable formula for Ascorbic Acid. I personally prefer Tetrahexyldecyl Ascorbate but it’s not as a popular or well known version of Vitamin C. Would be interested to hear your thoughts.
Great content!
We can't have any access to this information about the derma fillers. It's supposed that as patients, we trust you...our doctors
Soooooo basically you just explained why my immune system attacked the filler when I got covid and why it continues to attack the filler if I get more…. 🤔
Hey Dr Abs, I’m interested to know, say you go for a filler top up but this time you select a different brand of filler with different HA molecular weights, will that change the arrangement or weights or composition when it’s mixed with the other filler negatively or positively ? or will it stay the same for both
I would say negatively. You now have two different things eliciting immune reactions and the reaction from one could make it worse for the other. Great question!
I had my lip filler done last year …. Less than 1ml but after 3 days it deflated. Why did this happen.
What do you think of HarmonyCa biostimulator filler?
Amazing 🤩
How do you know so much about HA? Are you making your own? Wow 😮
I read a lot
Amazing pool of information for my young pratice. It will definitely impact the choice of material and treatment options I will offer. Thank you for this amazing piece of work!
Thank you for watching, glad you found it useful 🙏
This video is absolutely legendary. 'If the more inflammation the better, why don't you just microneedle for 6 hours' damn right.
Cosmetic dermatology and surgery needs more science
100% - doctors are just sheep most of the time following the crowd and saying/doing the same thing. There seems to be a pandemic of lack of original though, questioning of what we're told and courage to speak up.
How much importance is a CE certification? Is it similar to FDA approval? Does the brand Tesoro use the type of technology that you are referring to? Are Body Fillers generally a lower quality? Thank you for such wonderful education. it is truly refreshing.
CE shows safety first and foremost unless I'm mistaken. It's important on its own, but I guess not in a comparitive view seeing as they basically all have them anyway. FDA approval in fillers doesn't really mean much for me to be honest, the FDA have had articles written about them showing the level of corruption in the organisation. Also, you have fillers used regularly in Europe without fda and all is well. I get the feeling FDA approval is a great way to make money rather than anything else - it costs upwards of 7 figures to get it I think. I'm not sure what tesoro is - googled it and some jewellery came up 😂
For body fillers, it's not necessarily that they are a lower quality, I think it's possible they're the same quality as face ones for the manufacturers that make them too. But I don't rate many face filler manufacturers either as you can probably tell from the video.
And you're very welcome 😁
Hey Doc. What do you think about Tepxane rha4? I want to maintane my mideface. Thanks
For the bone, I'd use ultra deep if I had to use teoxane
@@Dr_Abs thanks for your answer so I can use it? But infected ultra deep? Do I got it right?
For filler on the bone, yeah ultra deep would be better
What do you recommend doing in my position Dr I have juvederm volux, volift and voluma in my face for nearly 2 years now I had no idea that it was so bad 2 years ago I wish I saw this video then before I got it 😢 and it hasn’t dissolved in the slightest :( the risk of dissolving seems to be to great for me which presents a whole another set of risks that doctors are not really acknowledging I feel
Stuck :(
The risk for dissolving is relative because it depends how you dissolve. I've dissolved juvederm many times with no issues whatsoever. I'd find someone who can ultrasound the filler to check how much there is and then potentially dissolver under ultrasound too
@@Dr_Abswouldn’t it be safer or better to let it wear off naturally lots of ppl report skin laxity, damage to the smas layers, immune system reactions to this enzyme it’s scared me I’m not having any issues with the juvederm I don’t want to make a mistake, and doctors are gaslighting patients that the enzyme Dosent damage them but there thousands of systemic damage that is being ignored
I explained in great detail in the video why people experience damage with it and why I've never caused any. I also explain the issue of leaving it in there
Thoughts on the quality of Revolax Sub Q?
Wouldn't go anywhere near it
Thank you. Also, in a few sentences or bullet points, based on your knowledge of how these products work, can you outline the long term negative effects of keeping fillers like revolax sub q in one's face? @@Dr_Abs
there’s no way for me to source revanesse in india. There’s juv volux and voluma and restylene here, my requirement would need about 4ml total on gonions.
What are your thoughts ?
I'd probs travel somewhere with decent fillers then. Realise that you're going to have a biological relationship here with whatever is injected into your face. Is compromosing worth it when you understand all the info about HA in this video?
@@Dr_Abs yeah makes sense. which are other decent fillers for gonions specifically?
It doesn't matter which part of the face, it matters what's in the syringe
@@Dr_Abs agreed. which brands apart from ravanesse would you recommend?
Maybe Yvoire, it's in the video
What do you think of HarmonyCa Biostimulators?
Complete waste of time for me personally. The calcium means you still only make collagen in types 1 and 3 just like everything else so I don't think it's anything unique. I'd rather use Revanesse filler with Sunekos in the skin overlying.
Thank you for taking time to answer😃 I just canceled my appointment for to morrow now😅
@@Cinderellabellaella LOL Im happy i gave you info but sad for the clinic's late cancellation haha. Go for just normal filler and then skin improvement on top is my advice.
I'm glad I came across your channel in time😂 thank you! Here in Norway HarmonyCa, total skin solution and this new Gouri is really hyped. And the best clinics all do them. The cosmetic world is so confusing with all the choices😂😅
Thank you so much for the time, energy and work you did to make this video to educate us and I've never done fillers. I just want to educate myself and if I was in london I would be at your place asap.With the morons running the world and WW3 is their goal traveling overseas isn't wise now.
There's morons here in London too don't worry 😂
Can you do a video on exosomes? Would love to hear your thoughts!
Long story short, it's just a marketing fad like antioxidants and vitamin c were at one time. But good idea for a video, I'll add it to my list 🙏
Second this!! ❤
*cough cough* polynucleotides
I have a video on those already
Will take a look after this video :))
Thank you so much for the informative content, really sheds much needed light into this murky industry
Cant wait to watch this!✨️ I had a question regarding a nose filler I got. About 0.50ml of Regenevou Deep was injected into my nose tip and whilst I passed a stage of acute complications (yellow pustules, stinging, pains, small random bleeds), I have thread veins that are becoming more prominent on my nose tip and my vision has been different since getting the nose filler (light is intense, starry, fuzzy and have increased bluriness). It's been over 3 months since I got it. I'm scared to get it dissolved (regarding my nose shape etc) but I am wondering what you'd suggest I do. 🙏🫶
I'd also like to kindly ask that you make a similarly in-depth video about hyaluronidase (it's risks, filler complications and how to manage them etc). I will literally watch it even if its 10 hours long 😂
The hyalase is alluded to here so people tha watch it well will get it from this video 😊
Could you possibly do a video though where you explain when we’re looking at the specs of these fillers how to know other than just looking for the particle size? How are we to know which one are likely to pull in the water which ones though they might many of them say Med or medium or deep or volume like what is the best way when looking at the specs to know for sure, or we’re not just a general role or different websites have different information than the next and with the product some of them you know with them being from so many different locations parts of the world often times because the information is not able to be compared because it’s not apples to apples. Thank u